Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY BRADDOCK, PT, DPT
ActiveZACHARY BRADDOCK, PT, DPT is a Physical Therapy Assistant healthcare provider located in BOISE, Idaho. NPI 1801249545 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BOISE, ID
Registration Details
- NPI Number
- 1801249545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2016 (9.886559890154 yrs)
- Last Updated
- Jul 18, 2016
- License
-
PT-4501 (ID)
Practice Information
- Address
-
1109 W MYRTLE STSUITE 200BOISE, ID, 837026970Browse ID providers · Browse ZIP 83702
- Phone
- 2084894331
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. BRIDGET CATHERINE CHOW | P.T. | 1063418796 |
| MRS. TWILA ROSE DOVER | P.T. | 1538165170 |
| MS. LINDA HAMMANN | MS, PT, SCS, ATC | 1386640928 |
| STEPHANIE K HERNLEY | PT | 1932109501 |
| MATTHEW RYAN BOOTH | PT | 1265416291 |
| LINDSAY S. FREEBORN | PT | 1124005095 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.